Both breasts of homogenous glandular pattern.
The left breast shows upper outer quadrant two irregular shape heterogenous infiltrative masses, with the following features:
- they extend from 1/2 to 3 o'clock axis
- each averaging roughly 37 x 20.7 mm and 25x13 mm.
- the depth of the lesions averaging 5 mm
- the distance of the lesions from the nipple averaging roughly 5 cm
- the distance between the two lesions averaging 7 mm with suspected infiltration of the intervening parenchyma
- few intralesional tiny calcific foci are noted
A pathologically enlarged ipsilateral left axillary lymph node which shows increase cortical thickness with slit-like hilum. Smaller lymph nodes are noted with mild eccentric thickening, suspicious lymph nodes.
No right breast masses.
Opinion:
Features of bifocal infiltrative left breast masses associated with ipsilateral suspicious axillary lymph nodes (BI-RADS 5).